| Dr Marlene Clare Bultemeyer, MD | |
|
7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | |
| (260) 436-2416 | |
| (260) 436-9662 |
| Full Name | Dr Marlene Clare Bultemeyer |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 20 Years |
| Location | 7956 W Jefferson Blvd, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083828719 | NPI | - | NPPES |
| 1083828719 | Medicaid | MI | |
| 3034657 | Medicaid | OH | |
| 200974740 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 01066634A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
| Van Wert County Hospital | Van wert, OH | Hospital |
| Marion General Hospital | Marion, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Parkview Regional Medical Center | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Fort Wayne Physicians, Llc | 5193138527 | 64 |
| Allied Physicians Inc | 5193625846 | 4 |
| Allied Physicians Inc | 5193625846 | 4 |
| Entity Name | Allied Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366433369 PECOS PAC ID: 5193625846 Enrollment ID: O20040422000314 |
| Entity Name | Indiana University Health Fort Wayne Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marlene Clare Bultemeyer, MD 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 436-2416 | Dr Marlene Clare Bultemeyer, MD 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 436-2416 |
Michelle Elise Wiese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2838 | |
Mrs. Eunice Wanjiku Hahn, PMHNP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-206-7830 | |
Rajesh Verma, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805 Phone: 260-426-5431 Fax: 260-460-1425 | |
Kevin L. Murphy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1720 Beacon St, Fort Wayne, IN 46805 Phone: 260-373-8000 Fax: 260-373-8034 | |
Jason A Santiago, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7956 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-436-2416 Fax: 260-436-9662 | |
Larry H. Lambertson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2717 |